How a person values and describes themselves.
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426 to 450 of 1,216A review of physical activity patterns in pregnant women and their relationship to psychological health.
Regular physical activity contributes positively to physical and psychological health. Adverse consequences of inactivity may be an especially important problem among pregnant women. Up to 60% are inactive during pregnancy. This review found consistent evidence that physical activity is reduced during pregnancy; however, few investigators have sought to quantify physical activity patterns among pregnant women using well validated measures. Some of the barriers to physical activity during pregnancy, such as depression, anxiety and fatigue, have been shown to be attenuated by regular exercise performed by non-pregnant samples. There is a need to better understand the relationships between these factors and physical activity during pregnancy. Available retrospective and prospective results suggest that both leisure time and work-related physical activities are decreased across pregnancy. In…
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Making healthy choices easy choices: the role of empowerment.
An important goal of health promotion is to make it easier for people to make healthy choices. However, this may be difficult if people do not feel control over their environment and their personal circumstances. An important concept in relation to this is empowerment. Health professionals are expected to facilitate and enable people moving towards empowerment. In this paper, we address the question what is meant by individual empowerment. In an attempt to provide a theoretical framework, we discuss individual empowerment from a salutogenic perspective. This perspective introduces two fundamental concepts: the general resistance resources, and the sense of coherence. In addition, in order to further clarify and operationalise the concept, some factors influencing individual empowerment are identified, that is, locus of control, learned helplessness, self-efficacy and outcome expectations…
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Sense of coherence and physical health. A review of previous findings.
The aim of this paper is to systematically review the available scientific publications published concerning the association between the sense of coherence (SOC) designed by Aaron Antonovsky (1923-1994), measured with the scales SOC-29 or SOC-13, and different aspects of health. The study is descriptive and integrates more than 50 scientific publications. The results are divided into the categories: Physical health; biological measures; psychological measures; health measures incorporating psychological aspects; stress; and behavioural aspects. The conclusion from this review is that SOC is highly associated with psychological aspects, including stress and behavioural aspects when SOC is operationalized with the prevailing scales. However we were unable to show a strong association between SOC and physical health that Antonovsky had predicted. Therefore we conclude that the SOC scale can…
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Face transplantation: psychological outcomes at three-year follow-up.
Background: The advent of face transplantation has raised both ethical and psychological issues. Mortality of 18 existing face transplant recipients is 11.1% (2/18) through 2011.
Objective: Psychological outcomes are as important in face transplantation as is restoring the face physically. Little quantitative information has been published this area.
Methods: Data was systematically collected over 3 years with a face transplant recipient, including appearance self-rating, body image, mood changes, pain rating, perception of teasing, quality of life, self-esteem, and social reintegration. We identified a significant gap in rating instruments for use in the field, so we developed the Perception of Teasing-FACES, Facial Anxiety Scale-State, and the Cleveland Clinic FACES score, analogous to the model for end-stage liver disease (MELD) score for prioritizing patients for a face transplant re…
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[Relapse prevention group therapy for paedophiles: French adaptation].
Psychotherapy for sex offenders has only very recently started to develop in France. The French law on compulsory treatment for sex offenders was voted in 1998, and many mental health practitioners are not trained to treat such patients yet. In our ambulatory forensic consultation, sex offenders have been treated since 1992 and group psychotherapy has been offered to them since 1994. Our first therapeutic models were the North-American behavioural-cognitive therapy and Pithers' relapse prevention model. Behavioural-cognitive theory describes paedophilia as an acquired sexual preference maintained by positive reinforcement. Pithers (1990) considered that relapse only occurs in high-risk situations, and that high-risk situations always come after offence precursors. In North America, relapse prevention consists in helping paedophiles spot their high-risk situations and offence precursors, …
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The impact of bariatric surgery on psychological health.
Obesity is associated with a relatively high prevalence of psychopathological conditions, which may have a significant negative impact on the quality of life. Bariatric surgery is an effective intervention in the morbidly obese to achieve marked weight loss and improve physical comorbidities, yet its impact on psychological health has yet to be determined. A review of the literature identified a trend suggesting improvements in psychological health after bariatric surgery. Majority of mental health gain is likely attributed to weight loss and resultant gains in body image, self-esteem, and self-concept; however, other important factors contributing to postoperative mental health include a patient's sense of taking control of his/her life and support from health care staff. Preoperative psychological health also plays an important role. In addition, the literature suggests similar benefit…
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Chen J, Ishii M, Bater KL, Darrach H, Liao D, Huynh PP, Reh IP, Nellis JC, Kumar AR, Ishii LE (2019)MEDLINE-indexed journal, not yet read by usJAMA facial plastic surgery90 citations Association Between the Use of Social Media and Photograph Editing Applications, Self-esteem, and Cosmetic Surgery Acceptance.
Importance: Social media platforms and photograph (photo) editing applications are increasingly popular sources of inspiration for individuals interested in cosmetic surgery. However, the specific associations between social media and photo editing application use and perceptions of cosmetic surgery remain unknown.
Objective: To assess whether self-esteem and the use of social media and photo editing applications are associated with cosmetic surgery attitudes.
Design, setting, and participants: A population-based survey study was conducted from July 1 to September 19, 2018. The web-based survey was administered through online platforms to 252 participants.
Main outcomes and measures: Each participant's self-esteem was measured using the Rosenberg Self-esteem Scale (scores range from 0-30; higher scores indicate higher self-esteem) and the Contingencies of Self-worth Scale (scores range f…
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No body is perfect: the significance of habitual negative thinking about appearance for body dissatisfaction, eating disorder propensity, self-esteem and snacking.
Thinking negatively about one's appearance may be a major source of unhappiness. It was investigated whether the habitual quality of negative body image thinking constitutes an additional vulnerability factor, i.e. when such thinking is repetitive and automatic. The cognitive content of negative body image thinking ('what') was distinguished from the habitual occurrence of such thinking ('how'). The mental habit component uniquely predicted explicit as well as implicit body dissatisfaction (the latter measured by an implicit association test) over and above cognitive content. Mental habit also accounted for eating disturbance propensity, low self-esteem and restrained snacking behaviour over and above cognitive content, even when controlled for body dissatisfaction. The habitual component of negative thinking about appearance thus seems a significant body image construct, has discriminan…
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Characteristics associated with low self-esteem among US adolescents.
Objective: Low self-esteem in adolescents has been associated with a number of risk and protective factors in previous studies, but results have been mixed. Our objective was to examine characteristics associated with low self-esteem in a large national sample of young adolescents.
Methods: We conducted a population-based correlational study. A sample of 6522 adolescents aged 12 to 16 years was surveyed by phone as part of a national study of media and substance use. Self-esteem was measured with 3 questions that assessed global self-worth and physical appearance. Multivariate logistic regression was used to examine the relationship between self-esteem and sociodemographics, child personality characteristics,weight status, daily TV time, parenting style, school performance,and team sports participation. Interactions among gender, race, and weight status were examined.
Results: In multiva…
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Obesity and risk of low self-esteem: a statewide survey of Australian children.
Objective: There is variation in the psychological distress associated with child obesity. Low self-esteem, when observed, provides very little information about the nature of the distress and no indication of the proportion of obese children affected. This study used a domain approach to self-competence to evaluate self-esteem in a representative sample of Australian children.
Participants and methods: A total of 2813 children (mean age: 11.3 years) took part in the study. They were recruited from 55 schools and were all in the last 2 years of primary school. Participants completed the Self-perception Profile for Children, a measure of body shape perception, and their height and weight were measured.
Results: Obese children had significantly lower perceived athletic competence, physical appearance, and global self-worth than their normal weight peers. Obese girls scored lower in these d…
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Pornography Use and Adolescent Sexual Self-Concept: The Role of Pornography-Related Expectancies and Generalizations.
While researchers have emphasized the need to investigate pornography use in relation to normative or positive aspects of adolescent sexuality and understand differential susceptibility among users, empirical studies remain sparse. In response, this study investigated the link between pornography use and adolescents' sexual self-concept (i.e., sexual self-esteem, body-esteem, sexual anxiety, and self-efficacy). Specifically, it compared the sexual self-concept of adolescents who had used pornography with those who had not, while also examining how frequency of use, pornography-related sexual expectancies, and generalizations were linked to sexual self-concept in a subset of users. A sample of 1584 Canadian adolescents (49.3% cisgender girls; Mage = 15.53 years) completed self-report questionnaires about their sexual functioning. Significant differences in sexual self-concept were found b…
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Comparison Is the Thief of Joy? Introducing the Attitudes Towards Social Comparison Inventory.
Social comparison has a significant impact on individuals' motivation, affect, and behavior. However, we lack a scale that captures individual differences in attitudes toward social comparison. To address this gap, we developed the Attitudes Toward Social Comparison Inventory (ASCI) drawing on existing scales that tap into metacognitive beliefs about worrying, self-motives, beliefs about emotions, and the general comparative-processing model. We examined the psychometric properties of the ASCI in a longitudinal study (N = 1,084), and a second (N = 550) and third cross-sectional study (N = 306). Through exploratory and confirmatory factor analyses, we identified a 12-item two-factor solution capturing positive and negative attitudes toward social comparison. The ASCI demonstrated measurement invariance across gender and time. The two factors were differentially and longitudinally associat…
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Divorce and conversational difficulties with parents: Impact on adolescent health and self-esteem.
Background: Divorce experience (DE) may cause health and self-conceptual problems, but these consequences might also be caused by conflicts and lack of conversational confidence (CC) with one or both parents. We investigated how DE impacted CC and how DE and CC impacted health complaints and self-esteem in a two-year longitudinal cohort study. Methods: The study was performed between 2011 and 2013 among 1225 students in junior high school (aged 11 and 13 years in 2011). We used binary logistic analyses to account for how DE impacted CC, and linear regression analyses to examine how DE and CC impacted on subjective health and self-esteem in 2013. Results: The study revealed that former and recent DEs impacted CC with fathers only. The impact was most evident for the more severe forms of conversational difficulties. DE in itself predicted only self-esteem, and CC with parents mediated this…
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Effects of Poly-Victimization on Adolescent Social Support, Self-Concept, and Psychological Distress.
Past research has demonstrated the particularly damaging effects of exposure to multiple forms of victimization, or "poly-victimization," on youth mental health. The primary objective of the present study is to begin to identify the mechanisms that help explain its powerful impact. Analyses are based on two waves of longitudinal data from the National Survey of Children's Exposure to Violence (NatSCEV), conducted in 2008 and 2010, that comprised a telephone sample of 1,186 youth ages 10 to 17. Using structural equation modeling, we examine direct and indirect effects on distress symptoms of increased, decreased, and stable high poly-victimization between Waves 1 and 2 compared to no or low victimization in both waves. Specifically, we consider the extent to which reductions in core psychosocial resources, including family support, peer support, self-esteem, and mastery, mediate the relat…
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Bogart KR (2014)MEDLINE-indexed journal, not yet read by usRehabilitation psychology68 citations The role of disability self-concept in adaptation to congenital or acquired disability.
Purpose/objective: Current theories of adaptation to disability do not address differences in adaptation to congenital or acquired disability. Although people with congenital disabilities are generally assumed to be better adapted than people with acquired disabilities, few studies have tested this, and even fewer have attempted to explain the mechanisms behind these differences. This study tested the proposition that whether a disability is congenital or acquired plays an important role in the development of the disability self-concept (consisting of disability identity and disability self-efficacy), which in turn, affects satisfaction with life. It was predicted that disability self-concept would be better developed among people with congenital, compared with acquired disabilities, predicting greater satisfaction with life in those with acquired conditions.
Research method/design: 226 …
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A model of internalized stigma and its effects on people with mental illness.
Objectives: The investigators aimed to examine the prevalence of internalized stigma among individuals with serious mental illness and to construct and test a hypothesized model of the interrelationships among internalized stigma, self-concept, and psychiatric symptoms.
Methods: One hundred individuals, most of whom were African American and had a diagnosis of serious mental illness, were receiving mental health services from one of three community outpatient mental health programs or one Veterans Affairsmedical center. They completed an interview that included measures of internalized stigma, psychiatric symptoms, self-esteem, selfefficacy, and recovery orientation. Structural equation modeling (SEM) was used to examine the interrelationships among these variables.
Results: Thirty-five percent of participants reported moderate to severe levels of internalized stigma, which was not signi…
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Leigh JP, De Vogli R (2016)editorial or commentMEDLINE-indexed journal, not yet read by usJournal of occupational and environmental medicine37 citations Low Wages as Occupational Health Hazards.
The history of occupational medicine has been characterized by ever-widening recognition of hazards, from fires in 1911 to asbestos in the 1960s, to job strain in the 1990s. In this essay, we argue for broadening the recognition further to include low wages. We first review possible mechanisms explaining the effects of wages on health or health behaviors. Mechanisms involve self-esteem, job satisfaction, deprivation, social rank, the "full" price of bad health, patience, and the ability to purchase health-producing goods and services. Second, we discuss empirical studies that rely on large, typically national, data sets and statistical models that use either instrumental variables or natural experiments and also account for other family income. Finally, we draw implications for laws governing minimum wages and labor unions.
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Mobile therapy: case study evaluations of a cell phone application for emotional self-awareness.
Background: Emotional awareness and self-regulation are important skills for improving mental health and reducing the risk of cardiovascular disease. Cognitive behavioral therapy can teach these skills but is not widely available.
Objective: This exploratory study examined the potential of mobile phone technologies to broaden access to cognitive behavioral therapy techniques and to provide in-the-moment support.
Methods: We developed a mobile phone application with touch screen scales for mood reporting and therapeutic exercises for cognitive reappraisal (ie, examination of maladaptive interpretations) and physical relaxation. The application was deployed in a one-month field study with eight individuals who had reported significant stress during an employee health assessment. Participants were prompted via their mobile phones to report their moods several times a day on a Mood Map-a tra…
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Compassionate mind training with people who hear malevolent voices: a case series report.
This paper presents a series of case studies to explore the understanding, acceptance and value of compassionate mind training (CMT) with psychotic voice hearers. We were interested in the degree to which such people are able to access and feel the positive emotions of 'warmth' and 'contentment' to become more self-compassionate. We also explored how CMT affected participants' hostile voices, their levels of anxiety, depression, paranoia and self-criticism. Participants were invited to offer suggestions for tailoring this approach for voice hearers. Results showed decreases for all participants in depression, psychoticism, anxiety, paranoia, Obsessive-Compulsive Disorder and interpersonal sensitivity. All participants' auditory hallucinations became less malevolent, less persecuting and more reassuring.
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A case of unusual autobiographical remembering.
This report describes AJ, a woman whose remembering dominates her life. Her memory is "nonstop, uncontrollable, and automatic." AJ spends an excessive amount of time recalling her personal past with considerable accuracy and reliability. If given a date, she can tell you what she was doing and what day of the week it fell on. She differs from other cases of superior memory who use practiced mnemonics to remember vast amounts of personally irrelevant information. We propose the name hyperthymestic syndrome, from the Greek word thymesis meaning remembering, and that AJ is the first reported case.
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Beck CT, Indman P (2005)case reportMEDLINE-indexed journal, not yet read by usJournal of obstetric, gynecologic, and neonatal nursing : JOGNN45 citations The many faces of postpartum depression.
Objective: To provide a profile of women suffering from major postpartum depression as assessed by the Postpartum Depression Screening Scale (PDSS).
Design: A secondary analysis conducted on a portion of the data collected from an earlier psychometric testing of the PDSS.
Setting: Private practice in the San Francisco Bay Area of a marriage and family therapist specializing in perinatal mood disorders.
Participants: One hundred thirty-three women who were diagnosed with major postpartum depression.
Intervention: Each mother completed the PDSS followed by a Diagnostic and Statistical Manual of Mental Disorders (4th ed.) diagnostic interview.
Main outcome measure: Seven dimensions of postpartum depression: sleeping/eating disturbances, anxiety/insecurity, emotional lability, mental confusion, loss of self, guilt/shame, and suicidal thoughts as measured by the PDSS.
Results: Scores on all s…
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Examining the impact of racial discrimination on psychological distress and the mediation of forgiveness and self-esteem among latter-day saint Pacific Islander men in the United States.
There is a dearth of psychological research on the effects of racial discrimination on the mental health of Pacific Islander (PI) individuals in the United States in general, but more specially among Pacific Islander men. The objective of this study was to examine the intersections of racial discrimination, depression, anxiety, stress, anger, forgiveness, and self-esteem in a sample of 249 Latter-day Saint Pacific Islander men in the United States through an online Qualtrics survey. Specifically, this study also sought to examine the effects of racial discrimination and the indirect effects of forgiveness and self-esteem on anger and depression, anxiety, and stress among this Pacific Islander group. Elevated experiences of racial discrimination were linked to increased levels of anger and negative psychological outcomes, including depression, anxiety, and stress. Furthermore, experiences…
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Transdiagnostic Predictors of Treatment Outcome in Patients With Anorexia Nervosa Receiving Intensive Enhanced Cognitive Behavioral Therapy (CBT-E).
Objective: This study examined the role of maintenance mechanisms not specific to eating disorders, as conceptualized in enhanced cognitive behavioral therapy (CBT-E)-namely clinical perfectionism, low core self-esteem, mood intolerance, and interpersonal problems-in patients with anorexia nervosa receiving intensive focused CBT-E. The aim was to assess changes in these mechanisms during treatment and their predictive value for outcomes.
Method: In this prospective cohort study, 113 patients aged 16-65 years were admitted for intensive CBT-E. Body mass index (BMI), eating disorder psychopathology, general psychopathology, and functional impairment were assessed at baseline, end of intensive treatment (EOIT), and 20-week follow-up. Non-eating disorder-specific variables were evaluated at baseline and EOIT.
Results: Ninety-nine patients (87.6%) completed treatment, and 75 (75.8%) attended …
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Humility, Differentiation of Self, and Rorschach Assessment of Clergy Candidates in the USA: An Exploratory Study.
Religious leaders occupy unique spaces as heads of communities who both provide care and support but also help face and navigate conflict within and outside of these congregations. Conflicts are becoming increasingly heightened as the world continues to polarize across various divides. Both psychology and theology have named humility as a virtue that may be helpful for religious leaders placed in complicated situations. Additionally, intellectual humility and differentiation of self (i.e., emotion regulation and capacity for boundaried relationships with others) have garnered attention as a possible critical virtue for religious leaders. These virtues may especially be critical in emerging religious leaders whose formation is still in progress. Therefore, in this study, emerging religious leaders undergoing psychological assessments for ordination were examined. Self-report measures of g…
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Menstrual cycle estradiol fluctuations predict changes in affect and socioemotional functioning.
Background: Previous research suggests that estradiol (E2) impacts mood as well as socioemotional and stress-related functioning in menstruating individuals. However, research in this area is limited by a preponderance of cross-sectional studies comparing psychological outcomes across menstrual phases that do not allow for conclusions to be made about E2's effects independent from progesterone.
Methods: In the current longitudinal investigation of 23 naturally cycling women, the potential effects of E2 on affect, state self-esteem, irritability, emotion recognition accuracy, and reactivity to both social exclusion (Cyberball) and psychosocial stress (Trier Social Stress Test; TSST) were assessed by comparing outcomes across two times of the menstrual cycle. Specifically, participants completed sessions in the early follicular (EF; cycle days 2-4, when E2 is expected to be low) and late f…
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